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Roundup: Mass. Gov. remains committed to health payment changes; insurers fight Fla. decision on state workers' HMO

The Patrick administration is still angling to get the Legislature to pass a sweeping overhaul of the state's health care payment and delivery system by the end of 2011, Lieutenant Governor Timothy P. Murray said yesterday.

10 Aug 2011

Roundup: Calif. adult day care plan?; R.I. shift to Medicare; Texas mental health coverage

State health officials are circulating a plan they say will help keep about 35,000 elderly and disabled Californians out of institutionalized care when Medi-Cal stops offering an adult day healthcare benefit in December.

9 Aug 2011

SUNY Downstate signs new three-year agreement with Aetna

Aetna and the State University of New York (SUNY) Downstate Medical Center announced a new agreement for SUNY Downstate's resumed participation in the Aetna network, and the continuing participation of University Hospital of Brooklyn's recently acquired Long Island College Hospital campus.

9 Aug 2011

Provider groups weigh in with Supreme Court on Calif. Medicaid case; Fla. docs oppose Medicaid revamp

In other Medicaid news, Texas switches its Medicaid recipients to cards instead of using monthly proof-of-coverage letters to save cash while some advocates worry that children's health could be at risk.

9 Aug 2011

BioScrip second quarter revenue increases 7.1% to $441.4 million

BioScrip, Inc. today announced 2011 second quarter financial results. Second quarter revenue for the period ended June 30, 2011, was $441.4 million with a net loss of $2.3 million, or $0.04 per share, including $8.7 million in restructuring charges and a legal settlement. Excluding the after tax effect of these charges, the Company earned $0.10 per diluted share. Adjusted EBITDA for the second quarter was $18.1 million.

8 Aug 2011

Medicaid changes rile advocacy groups in Calif., N.C. and Fla.

As states seek to find ways to curb costs in their Medicaid programs, many are getting opposition from patients and providers.

6 Aug 2011

Zalicus second quarter revenue decreases to $1.8 million

Zalicus Inc. today reported financial results for the second quarter ended June 30, 2011.

3 Aug 2011

N.Y. brothers make good money running nonprofit group to help disabled; Fla. sends Medicaid plan to feds

The New York Times details a the expensive lifestyle of two men from Brooklyn who earned nearly $1 million a year when running a Medicaid-financed nonprofit organization serving the developmentally disabled. Meanwhile, in Florida, state officials submitted their plans for converting Medicaid to a managed care program.

3 Aug 2011

Texas HHSC awards new contracts to Centene's Superior HealthPlan

Centene Corporation today announced its Superior HealthPlan, Inc. and its Superior HealthPlan Network have been tentatively awarded new contracts by the Texas Health and Human Services Commission.

2 Aug 2011

HHS reviewing Florida's plans for Medicaid; Iowa hospital system taking the brunt of Medicaid growth

Officials from Florida and the federal government are working on the state's plans to move all Medicaid enrollees to managed care plans. Meanwhile, Iowa is planning changes to its Medicaid program that could impact the University of Iowa Hospitals and Clinics. And a Medicaid provider in Georgia finds anomalies in payments.

2 Aug 2011

Auxilium second quarter net loss decreases to $5.1 million

Auxilium Pharmaceuticals, Inc., a specialty biopharmaceutical company, today announced financial results and operational highlights for the quarter ended June 30, 2011. For the second quarter of 2011, Auxilium reported net revenues of $65.9 million compared to net revenues of $50.5 million in the second quarter of 2010.

1 Aug 2011

Research roundup: Avoiding readmissions; the future of ACOs

Every week, Kaiser Health News reporter Shefali S. Kulkarni compiles a selection of recently released health policy studies and briefs.

30 Jul 2011

Amerigroup second quarter total revenues increase 6.3% to $1.53 billion

Amerigroup Corporation today announced that net income for the second quarter of 2011 was $44.3 million, or $0.83 per diluted share, versus net income of $67.2 million, or $1.31 per diluted share, for the second quarter of 2010 and compared to $70.5 million, or $1.37 per diluted share, for the first quarter of 2011.

29 Jul 2011

State roundup: Cuomo's N.Y. home health reform spurs complaints

Gov. Andrew Cuomo's effort to overhaul New York state's $6 billion home health-care industry is coming under scrutiny from patient advocates and other industry players who say the administration is bowing to the interests of large, politically connected providers.

28 Jul 2011

N.H. hospitals sue over Medicaid payments; Louisiana announces firms that will handle Medicaid managed care

As states seek to keep spending down for the health care program for low-income and disabled residents, they look to trim reimbursement rates and move more enrollees to private plans that control costs.

27 Jul 2011

First Edition: July 26, 2011

In her latest Kaiser Health News consumer column, Michelle Andrews writes: "In the controlled chaos of an hospital emergency department, ensuring that patients are pain-free and can make informed choices about their care often takes a back seat to assessing and stabilizing them and moving them through the system as fast as possible.

26 Jul 2011

Centene reports diluted earnings per share of $0.54 for second quarter 2011

Centene Corporation today announced its financial results for the quarter ended June 30, 2011. The discussions below, with the exception of cash flow information, are in the context of continuing operations and all financial ratios exclude premium taxes.

26 Jul 2011

Study: Mail-order pharmacy use linked to improved cardiovascular risk factor outcomes

Kaiser Permanente Northern California patients who obtained new statin prescriptions via a mail-order pharmacy achieved better cholesterol control in the first 3-15 months following the initiation of therapy -- compared to those patients who only obtained their statin prescription from their local Kaiser Permanente Northern California pharmacy.

25 Jul 2011

Medco enters definitive merger agreement with Express Scripts

Express Scripts, Inc. and Medco Health Solutions, Inc. today announced that they have entered into a definitive merger agreement.

21 Jul 2011

AstraZeneca receives FDA approval for BRILINTA to treat acute coronary syndrome

AstraZeneca announced today that the US Food and Drug Administration (FDA) has approved BRILINTA (ticagrelor) tablets to reduce the rate of heart attack and cardiovascular (CV) death in adult patients with acute coronary syndrome (ACS), compared to clopidogrel.

21 Jul 2011

Managed Care News and Research

Roundup: Mass. Gov. remains committed to health payment changes; insurers fight Fla. decision on state workers' HMO

Roundup: Calif. adult day care plan?; R.I. shift to Medicare; Texas mental health coverage

SUNY Downstate signs new three-year agreement with Aetna

Provider groups weigh in with Supreme Court on Calif. Medicaid case; Fla. docs oppose Medicaid revamp

BioScrip second quarter revenue increases 7.1% to $441.4 million

Medicaid changes rile advocacy groups in Calif., N.C. and Fla.

Zalicus second quarter revenue decreases to $1.8 million

N.Y. brothers make good money running nonprofit group to help disabled; Fla. sends Medicaid plan to feds

Texas HHSC awards new contracts to Centene's Superior HealthPlan

HHS reviewing Florida's plans for Medicaid; Iowa hospital system taking the brunt of Medicaid growth

Auxilium second quarter net loss decreases to $5.1 million

Research roundup: Avoiding readmissions; the future of ACOs

Amerigroup second quarter total revenues increase 6.3% to $1.53 billion

State roundup: Cuomo's N.Y. home health reform spurs complaints

N.H. hospitals sue over Medicaid payments; Louisiana announces firms that will handle Medicaid managed care

First Edition: July 26, 2011

Centene reports diluted earnings per share of $0.54 for second quarter 2011

Study: Mail-order pharmacy use linked to improved cardiovascular risk factor outcomes

Medco enters definitive merger agreement with Express Scripts

AstraZeneca receives FDA approval for BRILINTA to treat acute coronary syndrome

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